Our Routine
- Data Collection and Integration: Gather, standardize, and integrate revenue cycle data from various sources, such as Electronic Health Records (EHRs), billing systems, and payer portals.
- Key Performance Indicator (KPI) Tracking: Monitor important metrics such as Days in Accounts Receivable (DAR), Clean Claim Rate, and Denial Rates. These KPIs provide insights into the efficiency and effectiveness of RCM processes.
- Predictive Analytics: Utilize data to predict trends, such as potential payment delays, patient payment behavior, and possible claim denials. This helps providers proactively address potential issues.
Ground Work
- Denial Management Analysis: Analyze denied claims to understand the root causes and identify corrective actions. This service may also include trend analysis to spot recurring denial reasons and improve claim acceptance rates.
- Coding Analysis: Examine the clinical coding practices to ensure that providers are using the most accurate and optimized codes. This can result in improved reimbursement and fewer coding-related denials.
- Charge Capture Improvement: Identify and rectify any missed charges or under billing scenarios, ensuring that every service provided is billed appropriately.
RCM Analytics
Analytic services with a holistic view of the revenue cycle, equipping staff and practitioners with actionable insights to enhance financial performance and patient care delivery.
About Us
Custom Reporting and Dashboards
Custom Reporting and Dashboards
Custom Reporting and Dashboards
Develop tailored reports and visual dashboards for stakeholders to monitor and manage RCM metrics and trends in real-time.
Benchmark
Custom Reporting and Dashboards
Custom Reporting and Dashboards
We compare an organization's performance against industry standards or peer groups to identify areas of improvement or excellence.
Contracts and Payer Analysis
Custom Reporting and Dashboards
Contracts and Payer Analysis
Evaluate payer contracts to ensure providers are receiving the contracted rates. Also, analyze payer behavior to negotiate better terms or identify patterns in payment delays and denials.